Year 3 GP Teaching Overview QMUL/Barts and the London Dr Jenny Blythe Year 3 Module lead CBME

Previous GP Teaching Year 1 – Med Soc Year 2 – Extending Patient Contact Central Teaching with GP involvement

Overview of Year 3 Teaching Three terms of nine weeks in Year 3. One module per term: (Met 3A) Surgery, Gastro & Oncology (Met 3B) Renal & Endocrine (1 week Breast & 1 week Urology teaching during the term) ENT (CR3) Cardiorespiratory and Haematology Students rotate around-also end of term ICA.

Overview of Year 3 GP Teaching Met 3A 4 days over 1 week allocated to GP 2 days GP (either Mon/Tues or Thurs/Fri) 1 day District Nurses, 1 day central teaching GP3 1 day a week for 7-9 weeks in Met 3B term Incorporates both CR3 and Met 3B themes

Rationale for Change Students asking for longer blocks in GP. Move towards integrated learning across systems. Opportunity for MDT experience & introduction to multimorbidity. Parity of experience for students. Overall increase in GP time in curriculum.

GP3 Teaching Themes Cardiovascular Respiratory Haematology Renal Endocrine Intro to Infection & ENT Breast Urology

Suggested Activities for GP3 Taking Histories Examining Patients Clinical Skills Observing and Observed clinics Specialist Nurse Clinics Other MDT Working Opportunities for Audit

GP3 Assessment Attendance and Professionalism Logbook sign-offs of Hx, Ex, Clinical Skills Logbook continuity exercise Met 3B PBLs on haematuria & diabetes with logbook sign-off SSC3a can be done in Primary Care Note ICA for each term based on lecture week

MA3 Teaching Themes Surgery including vascular Gastroenterology Cancer Palliative Care (note a half day in hospice) All ‘inner’ placements are 2 days GP, 2DN 1 central. All resources on QMPlus for others.

Suggested Activities for MA3 Taking Histories Examining Patients Clinical Skills Observing and Observed clinics Specialist Nurse Clinics Other MDT Working Cases on QMPlus will be covered centrally

MA3 Assessment Attendance at all activities-GP, DN, central uni Professionalism Logbooks sign-off activities

What do students like doing? Surveyed Student Preference (in order) Direct Patient contact Clinical skills practice Home visits Tutor/Peer observation Case based discussions (on QMPlus) Tutor/Student led tutorials

Student Feedback on ‘Good’ Teaching Students allowed to see patients on their own, then go with patient to see GP and present their findings and suggest how to manage patient. Students given logins to computer system and encouraged to use computer system to make notes and retrieve information when interviewing patients. Students encouraged to carry out examinations and then doctors carried out same examination to confirm findings and help guide students in what to look and listen for. Tutorials run by GP where diagnosis, investigation and management of important conditions is explored. Going on home visits with GP.

Resources Student Resources Tutor Resources QMPlus-module handbooks for each module CBME handbook in Year 3 CBME area QMplus Links to resources eg relevant NICE guidelines Tutor Resources www.gptutorbartsandthelondon.org.uk Contact admin for access to student QMPlus site.

Contacts at CBME Administrators: Esi Amankwe (Mon-Wed) e.amankwe@qmul.ac.uk Jim Manzano (Thurs & Fri) j.manzano@qmul.ac.uk Year 3 GP Module Lead Dr Jenny Blythe j.blythe@qmul.ac.uk